Qualified Plan vs. HARP Qualified Managed Care Plan
{"Image DocumentName": "Qualified Plan vs. HARP Qualified Managed Care Plan", "Image ImageDescription": "Health and Recovery Plan. Medicaid Eligible. Benefit includes Medicaid State Plan covered services. Organized as Benefit within MCO. Management coordinated with physical health benefit management. Performance metrics specific to BH. BH medical loss ratio. Specialized integrated product line for people with significant behavioral health needs. Eligible based on utilization or functional impairment. Enhanced benefit package - All current PLUS access to 1915i-like services. Specialized medical and social necessity/ utilization review for expanded recovery-oriented benefits. Benefit management built around higher need HARP patients. Enhanced care coordination - All in Health Homes. Performance metrics specific to higher need population and 1915i. Integrated medical loss ratio. 7.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}